Search › Missouri › 101Y00000X
Pamela Jackson, CRADC
NPI 1265948194 · on the registry since 2017 · sole proprietor
Practice
- Address
- 106 S Independence St
Harrisonville, MO 64701 - Phone
- (816) 813-7533
- Fax
- (816) 813-7533
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 101YA0400X
106H00000X - Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-06-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri